Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Sessiz İstifa Ölçeği: Geliştirilmesi, Geçerliliği ve Güvenilirliği: Metodolojik Çalışma
Quiet Quitting Scale: Development, Validity and Reliability: Methodological Study
Serhan ŞAHİNLİa , Murat ERENb
aİstanbul Yeni Yüzyıl Üniversitesi Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü, İstanbul, Türkiye
bÜsküdar Üniversitesi Sağlık Bilimleri Fakültesi, Sağlık Yönetimi Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(3):608-15
doi: 10.5336/healthsci.2024-102241
Article Language: TR
Full Text
ÖZET
 Amaç: ''Sessiz İstifa'' kavramı, gerçek bir istifa olmayan, genel anlamıyla ''işte en azını yapmak, yapılması gerekenler dışında hiçbir şey yapmamak, özel hayatı korumak ve daha az sorumluluk almak'' olarak ifade edilen sessiz bir vazgeçiş süreci olarak tanımlanmaktadır. Bu araştırmanın amacı, ''Sessiz İstifa'' ölçeğinin geliştirilmesi, geçerliliği ve güvenilirliğinin saptanmasıdır. Gereç ve Yöntemler: Literatür incelenerek, ölçülmek istenen yapı belirlenmiş ve araştırmada kullanılmak üzere 5'li Likert ölçek tercih edilmiştir. Oluşturulan madde havuzundan benzer yargı ya da anlamı ifade edebilecek maddeler çıkarılarak taslak ölçeğin kapsam geçerliliği çalışmaları yürütülmüştür. Pilot uygulamanın yürütülmesi sonrasında geçerliliğe ilişkin açıklayıcı ve doğrulayıcı faktör analizleri uygulanmıştır. Ölçeğin güvenilirliğini tespit etmek amacıyla da Cronbach alfa katsayıları değerlendirmeye alınmıştır. Araştırma kapsamında 202 sağlık profesyonelinden elde edilen veriler değerlendirmeye alınmıştır. Bulgular: Geliştirilen ölçeğin Kaiser-Mayer-Olkin değeri 0,867 bulunmuş ve Bartlett küresellik testi de anlamlı görülmüştür. Ölçeğin uyum iyiliği değerleri incelendiğinde; Artan Uyum İndeksi (0,919), karşılaştırmalı Uyum İndeksi (0,919), ortalama hataların karekökü (0,079) ve ki-kareserbestlik derecesi oranı (3,908) mükemmel uyum; Düzeltilmiş Uyum İyiliği İndeksi (0,863), Normlaştırılmış Uyum İndeksi (0,904), Uyum İyiliği İndeksi (0,871) ve yaklaşık hataların ortalama karekökü (0,07) kabul edilebilir düzeyde uyum göstermiştir. Ölçeğin Cronbach alfa değerinin 0,861 olduğu tespit edilmiştir. Sonuç: Çalışma sonucunda, 2 boyut ve 11 maddeden oluşan ''Sessiz İstifa Ölçeği'' geliştirilmiştir. Geliştirilen ölçekle sağlık çalışanların sessiz istifa tutumları ortaya konulmaktadır.

Anahtar Kelimeler: Sessiz istifa; sağlık çalışanı
ABSTRACT
 Objective: The concept of ''Quiet Quitting'' is defined as a silent process of giving up, which is not a real resignation, but is generally expressed as ''doing the minimum at work, not doing anything other than what needs to be done, protecting private life and taking less responsibility''. The purpose of this research is to develop, validate and test the reliability of the ''Quiet Quitting'' scale. Material and Methods: By examining the literature, the structure to be measured was determined and a 5-point Likert scale was preferred to be used in the research. Content validity studies of the draft scale were conducted by removing items that could express similar judgments or meanings from the created item pool. After conducting the pilot study, exploratory and confirmatory factor analyzes regarding validity were applied. Cronbach's alpha coefficients were evaluated to determine the reliability of the scale. Within the scope of the research, data obtained from 202 health professionals were evaluated. Results: The Kaiser-Mayer-Olkin value of the developed scale was found to be 0.867 and the Bartlett test of sphericity was also found to be significant. When the goodness of fit values of the scale are examined; incremental fit index (0.919), comparative fit index (0.919), root mean square errors (0.079), and chisquare-degrees-of-freedom ratio (3.908) indicate excellent fit; adjusted goodness of fit index (0.863), normed goodness of fit index (0.904), goodness of fit index (0.871) and root mean square error of approximation (0.07) showed acceptable fit. The Cronbach alpha value of the scale was found to be 0.861. Conclusion: As a result of the study, the ''Quiet Quitting Scale'' consisting of 2 dimensions and 11 items was developed. With the developed scale, the silent resignation perceptions of healthcare professionals are revealed.

Keywords: Quiet quitting; health employee
REFERENCES:
  1. Güler M. Çalışma kültüründe yeni bir kavram: sessiz istifa [A new concept in work culture: quıet quitting]. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2023;32(1):247-61. [Crossref] 
  2. Youthall. Sessiz İstifa. [Erişim tarihi: 12 Temmuz 2023]. Erişim linki: [Link] 
  3. İstanbul Gelisim University [Internet]. 2024 © [Cited: September 12, 2023]. Non-increasing salary leads employees to"quiet quitting"!". Available from: [Link] 
  4. Yıldız S, Özmenekşe YO. Kaçınılmaz son: sessiz istifa [An aftermath for worklife: quiet quitting]. Al-Farabı International Journal on Social Sciences. 2022,7(4):14-24. [Link] 
  5. Kuşoğlu İ. İş hayatında yeni akım: Sessiz istifa. Habertürk Gazetecilik A.Ş. 19 Ağustos 2022. [Link] 
  6. Satıl C. Pandemi sonrasında çalışan halleri: Sesli ve sessiz istifalar". Doğruluk Payı. 5 Ekim 2022. [Link] 
  7. Doctor Karen [Internet]. ©2024 Dr. Karen, KHDR Consulting LLC. [Cited: September 1, 2022]. Quiet quitting in healthcare. Available from: [Link] 
  8. Mahand T, Caldwell C. Quiet quitting-causes and opportunities. Business and Management Research. 2023;12(1):9-19. [Crossref] 
  9. Szabó, D. Quiet quitting. Világpolitika és a Közgazdaságtan. 2023;2(1):115-18. [Crossref] 
  10. Scheyett A. Quiet quitting. Social Work. 2023;68(1):5-7. [Crossref]  [PubMed] 
  11. Valura. Sessiz İstifa. [Erişim tarihi: 6 Eylül 2023]. Erişim linki: [Link] 
  12. Batı S, Kobal G. Eski bir alışkanlık, yeni bir akım: Sessiz istifa yaşayanlar anlatıyor, uzmanlar yorumluyor. Hürriyet. 2 Eylül 2022. [Link] 
  13. Cumhuriyet. Farkında olmadan işten ayrılmış olabilirsiniz: Sessiz istifa nedir, "ana neden" ne?. 28 Eylül 2022. [Link] 
  14. Margaret Calvery. Quiet quitting: are physicians dying inside bit by bit? Or setting healthy boundaries?. Medscape. 16 September 2022. [Link] 
  15. Weiland N. Why health care workers are burning out. The New York Times Company. 24 October 2023. [Link] 
  16. Boy Y, Sürmeli M. Quiet quitting: a significant risk for global healthcare. J Glob Health. 2023;13:03014. [Crossref]  [PubMed]  [PMC] 
  17. Llopis G. The cure for "quiet quitting": humanize work. Forbes. 21 September 2022. [Link] 
  18. McKinsey Health Institute [Internet]. Addressing employee burnout: are you solving the right problem?. [Cited: September 12, 2022]. Available from: [Link] 
  19. Coşkun R, Altunışık R, Yıldırım E. Sosyal Bilimlerde Araştırma Yöntemleri SPSS Uygulamalı. 10. Baskı. Sakarya: Sakarya Yayıncılık; 2020.
  20. Worthington RL, Whittaker TA. Scale development research: a content analysis and recommendations for best practices. The Counseling Psychologist. 2006;34(6):806-38. [Crossref] 
  21. Tezbaşaran AA. Likert Tipi Ölçek Hazırlama Kılavuzu. 3. Sürüm e-Kitap. Mersin: Mersin Üniversitesi; 2008. [Link] 
  22. DeVellis RF. Scale Development Theory and Applications. 3rd ed. New York: Sage Publications; 2012.
  23. Hinkin T. A brief tutorial on development of measures for use in survey questionnaires. Organizational Research Methods. 1998;1(1):104-21. [Crossref] 
  24. Morgado FFR, Meireles JFF, Neves CM, Amaral ACS, Ferreira MEC. Scale development: ten main limitations and recommendations to improve future research practices. Psicol Reflex Crit. 2017;30(1):3. Erratum in: Psicol Reflex Crit. 2017;30(1):5. [Crossref]  [PubMed]  [PMC] 
  25. Karakoç FY, Dönmez L. Ölçek geliştirme çalışmalarında temel ilkeler [Basic principles of scale development]. Tıp Eğitimi Dünyası. 2014;13(40):39-49. [Crossref] 
  26. Esin MN. Veri toplama yöntem ve araçları & veri toplama araçlarının güvenirlik ve geçerliği. Erdoğan S, Nahcivan N, Esin MN, editörler. Hemşirelikte Araştırma. 1. Baskı. İstanbul: Nobel Tıp Kitabevleri; 2014. p.193-232.
  27. Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382-5. [Crossref]  [PubMed] 
  28. Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489-97. [Crossref]  [PubMed] 
  29. Davis LL. Instrument review: getting the most from a panel of experts. Applied Nursing Research. 1992;5(4):194-7. [Crossref] 
  30. Connelly LM. Pilot studies. Medsurg Nurs. 2008;17(6):411-2. [Crossref]  [PubMed] 
  31. George D, Mallery M. SPSS for Windows Step By Step: A Simple Guide and Reference. 17.0 Update. 10th ed. Boston: Pearson; 2010.
  32. Shur DD. Exploratory or confirmatory factor analysis? Statistics and Data Analysis. 2006;31:200-31. [Link] 
  33. Karagöz Y. SPSS 21.1 Uygulamalı Biyoistatistik. 2. Basım. Ankara: Nobel Akademik Yayıncılık; 2014.

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